MR. CHARLES LEE TUCKER I (NPI# 1497039135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497039135 |
| Entity Type | Individual |
| Full Name | MR. CHARLES LEE TUCKER I |
| Credential | LADC |
| Practice Address |
12925 Ne 59th St Spencer OK 73084-8605 |
| Practice Telephone | 4054642922 |
| Mailing Telephone | 4054642922 |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2011-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1225 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1225 | 01 | |
| OK | NPI | 1225 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285848887 | Charles Morton Tucker | Psychologist | 900 Summit La, Oreland, PA 19075-2526 | 2007-05-10 |
| 1831204478 | Charles Thomas Tucker | Internal Medicine | 111 Colonial Way Ste 2, Jesup, GA 31545-0132 | 2006-08-21 |
| 1124055322 | Charles Thomas Tucker | Chiropractor | 2516 Nw 43rd St, Gainesville, FL 32606-7491 | 2006-06-26 |
| 1639173396 | Charles L Tucker | Family Medicine | 195 Hospital Dr, Cherokee Village, AR 72529-7314 | 2005-06-10 |
| 1902405392 | Charles Thomas Tucker IIi | Chiropractor | 3014 Wade Hampton Blvd, Taylors, SC 29687-2716 | 2020-10-19 |
| 1043853278 | Charles Mahlon Tucker | Physical Therapy Assistant | 112 W Citrus St, Altamonte Springs, FL 32714-2502 | 2019-10-21 |
| 1023662921 | Charles Tucker | Pharmacist | 200 S Rachal St, Sinton, TX 78387-2524 | 2019-07-29 |
| 1497255244 | Charles Edward Tucker | Counselor | 3088 Cranberry Hwy Ste A, East Wareham, MA 02538-4800 | 2018-02-19 |
| 1295893030 | Charles Douglas Tucker | Surgery | 300 S 8th St, Suite 205 E, Murray, KY 42071-2400 | 2006-12-05 |
| 1669567756 | Charles R. Tucker | Dentist | 515 College Ave, Alva, OK 73717-2202 | 2006-10-04 |
| Street Address |
12925 NE 59TH ST |
| City | SPENCER |
| State | OK |
| Zip Code | 73084-8605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728070 | Tracy Smith | Social Worker | 8507 Ne 47th Street, Spencer, OK 73084 | 2017-02-07 |
| 1316484751 | Marcus Alexander | Case Manager/Care Coordinator | 8226 Ne 26 St, Spencer, OK 73084 | 2017-01-24 |
| 1538589957 | Marcy Thornton | Counselor | #5 Rock N Horse, Spencer, OK 73084 | 2014-04-24 |
| 1710313457 | Janice Kemp | Counselor | 8717 Ne 47th, Spencer, OK 73084 | 2013-09-25 |
| 1629402367 | Robert Benard Smith II | Behavioral Analyst | 8900 Ne 51 St, Spencer, OK 73084 | 2013-08-29 |
| 1508201765 | Marlon T James | Counselor | 3711 Red Bud Dr, Spencer, OK 73084 | 2013-05-01 |
| 1144580341 | Krishaun Jackson | Counselor | 10901 N.e 59th St., Spencer, OK 73084 | 2012-05-22 |
| 1326317074 | Jamie Tyrell Thompson | Behavioral Analyst | 7924 Glory Road, Spencer, OK 73084 | 2011-12-27 |
| 1770860793 | Wendy Jones | Counselor | 8904 N.e 45th St., Spencer, OK 73084 | 2011-11-04 |
| 1114258605 | Florence Yvonne Alexander | Counselor | 12724 Ne 38th, Spencer, OK 73084 | 2010-01-22 |
| Find all providers in zip 73084 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669835732 | Joann Deyoung | Counselor | 1900 Grand Ave N Ste A, Spencer, IA 51301-2200 | 2016-04-05 |
| 1043649270 | Frank Cecil Calvin | Counselor | 8617 Honeylocust Dr, Spencer, OK 73084-2115 | 2013-11-07 |
| 1417254681 | Comelia Jackson | Counselor | 8616 Ne 35th St, Spencer, OK 73084-3206 | 2011-02-23 |
| 1063731149 | Charzina Fields | Counselor | 4817 Shady Nook Way, Spencer, OK 73084-2550 | 2010-05-27 |
| 1760096184 | Ema Basie Enriquez | Counselor | 201 E 11th St, Spencer, IA 51301-4460 | 2020-09-02 |
| 1770120917 | Kimberly Sue Silberstein | Counselor | 201 E 11th St, Spencer, IA 51301-4460 | 2019-12-06 |
| 1417504218 | Angus C Raymond | Counselor | 201 E 11th St, Spencer, IA 51301-4460 | 2019-08-26 |
| 1912551201 | Joan Wagner | Counselor | 201 E 11th St, Spencer, IA 51301-4460 | 2019-07-25 |
| 1982178034 | Sage Johnson | Counselor | 1900 Grand Ave N, Ste A, Spencer, IA 51301-2200 | 2019-01-11 |
| 1174001101 | Tyler Jon Reck | Counselor | 1900 Grand Ave N, Ste A, Spencer, IA 51301-2200 | 2018-08-01 |
| Find all providers in SPENCER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.